labs CPT 99204 1,994 retained facts

CPT 99204, as published

The retained monetary negotiated-rate facts that specific Cigna Colorado July 2026 files published for CPT 99204 — one annotated record, then all of them. Part of Anatomy of a Published Healthcare Rate.

One retained record for CPT 99204, shown exactly as published, with what each field does — and does not — establish.

amount: $186.82; The published number. USD is a contract assumption — the source schema does not state a currency.
billing_code: CPT 99204 (2026); The procedure code the file attached to this fact. The slice omits modifiers, so the code alone does not fully specify the service.
service_name: OFFICE O/P NEW MOD 45 MIN; The service name exactly as the file published it.
negotiated_type: fee schedule; What the payer calls this number. “Fee schedule” and “negotiated” facts are different kinds of statements and are never mixed silently here.
billing_class: professional; Professional and institutional facts describe different billing contexts.
service_codes: 28 CMS place-of-service codes; Broad CMS place-of-service context — not a specific care setting.
provider_group_id: provider-group-001001; A release-scoped opaque source context. It is not a provider identity, and it cannot be counted as one.
expiration_date: 9999-12-31; Expiration lineage as published; 9999-12-31 is the source's open-ended sentinel.
source lineage: Cigna · CO · reporting month 2026-07; Published in one of 8 in-network files for this boundary; plan attribution was not observed in this slice.

record sha256:0002a5c2eadba82a227a670b942ac27650d26a651593f49975bdcdf44cdaca68

Before you read any number here as a price

These are July 2026 file contents, not current prices. Every fact is what specific Cigna Colorado machine-readable files published for reporting month 2026-07. Files carry no currentness claim.
This is a bounded retained sample. 12,183 retained facts across fifteen CPT codes — not a market, not all of the payer's rates, and not a completeness claim.
USD is an assumption, not a source field. The source schema does not state a currency; the contract records the USD assumption explicitly.
Context is missing from this bounded slice. The CMS file format can carry billing-code modifiers, setting, and plan context, and the underlying files publish some of it — but this slice omits modifiers and setting, and plan attribution was not observed in it. Matching CPT codes alone do not establish comparable services.
One dot or row is one retained published fact — never one provider. Provider group ids are release-scoped opaque source contexts, not identities.
Not advice. Nothing on this page is consumer medical or purchasing advice.

Every retained published amount for CPT 99204 — one dot is one retained source fact (never one provider), faceted by billing class and negotiated type. Dot height within a band is random jitter with no meaning, and the $0–$800 scale below is the axis range, not observed amounts.

First 40 of 1,994 retained facts for CPT 99204, in record-key order

record	amount	negotiated type	billing class	provider group	expires
0002a5c2ea…	$186.82	fee schedule	professional	001001	9999-12-31
00129618e6…	$240.09	fee schedule	professional	001132	9999-12-31
001795621f…	$178.73	fee schedule	professional	001742	9999-12-31
001c629504…	$191.84	fee schedule	professional	007820	9999-12-31
001e25002d…	$208.09	fee schedule	professional	008599	9999-12-31
0026743da7…	$282.27	fee schedule	professional	008758	9999-12-31
00289f1a9f…	$250.28	fee schedule	professional	001564	9999-12-31
003548241c…	$224.73	fee schedule	professional	004005	9999-12-31
0038416125…	$518.22	fee schedule	professional	005257	9999-12-31
003b412f5d…	$186.13	fee schedule	professional	008081	9999-12-31
0048e0396b…	$215.97	fee schedule	professional	005732	9999-12-31
004d46acd1…	$200.88	fee schedule	institutional	008564	9999-12-31
00588140f2…	$217.91	fee schedule	professional	005152	9999-12-31
0059871e3e…	$172.57	fee schedule	professional	006147	9999-12-31
006b198d5b…	$280.04	fee schedule	professional	007313	9999-12-31
008b972bef…	$188.01	fee schedule	professional	003377	9999-12-31
008f874c64…	$149.28	fee schedule	professional	007088	9999-12-31
009dfe648e…	$144.81	fee schedule	professional	001742	9999-12-31
00c12482d9…	$153.83	fee schedule	professional	003221	9999-12-31
00c7b41fd5…	$241.38	fee schedule	professional	002688	9999-12-31
00e17c69cd…	$183.42	fee schedule	professional	002853	9999-12-31
00e1a296ea…	$183.12	fee schedule	professional	006734	9999-12-31
00f6a16349…	$204.11	fee schedule	professional	006999	9999-12-31
010c2bcb96…	$129.00	fee schedule	professional	007520	9999-12-31
010c485b0d…	$128.54	fee schedule	professional	001648	9999-12-31
011570c864…	$153.97	fee schedule	professional	000504	9999-12-31
01300ea184…	$205.00	fee schedule	professional	003484	9999-12-31
01302c38da…	$265.12	fee schedule	professional	007130	9999-12-31
013ae7ae01…	$146.07	fee schedule	professional	003540	9999-12-31
01701ccb4b…	$139.14	fee schedule	professional	004777	9999-12-31
01b7f4bc6b…	$186.82	fee schedule	professional	006675	9999-12-31
01b905b83a…	$167.00	fee schedule	professional	002155	9999-12-31
01ea972c7d…	$144.81	fee schedule	professional	001607	9999-12-31
01f03eab32…	$135.00	fee schedule	professional	006283	9999-12-31
01fe600de9…	$214.00	fee schedule	professional	005580	9999-12-31
0209232bd8…	$196.15	fee schedule	professional	004385	9999-12-31
020e4cb48a…	$188.20	fee schedule	professional	008059	9999-12-31
0210f318f2…	$170.00	fee schedule	professional	005291	9999-12-31
0236df9f20…	$215.91	fee schedule	professional	006210	9999-12-31
023847cddb…	$137.05	fee schedule	professional	001449	9999-12-31

Data: Transparency in Coverage pricing slice v0, pipeline release b69ad4fd10fb, imported with verified SHA-256 content hashes recorded in release.json.